MEDICARE: SPECIALIZED SOLUTIONS FAMILY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1154984227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED SOLUTIONS FAMILY SERVICES

Provider Business Mailing Address
First Line	:	4121 MEADOWDALE BLVD STE C
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23234-5500
Country	:	US
Telephone Number	:	804-912-2458
Fax Number	:	804-912-2504

Provider Business Practice Location Address
First Line	:	4121 MEADOWDALE BLVD STE C
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23234-5500
Country	:	US
Telephone Number	:	804-912-2458
Fax Number	:	804-912-2504

Authorized Official
Title or Position	:	CLINICIAN/OWNER
Name	:	MRS. SHAKETA DRAUGHN
Credential	:	LCSW
Telephone Number	:	804-912-2458

Provider Enumeration Date	:	04/15/2019
Last Update Date	:	04/15/2019

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Directions to “SPECIALIZED SOLUTIONS FAMILY SERVICES ” Practice Location

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